Provider Demographics
NPI:1376844258
Name:ROBINSON CENTER FOR CHIROPRACTIC
Entity Type:Organization
Organization Name:ROBINSON CENTER FOR CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-782-3243
Mailing Address - Street 1:3300 REYNOLDA RD
Mailing Address - Street 2:INSIDE GOLD'S GYM
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3093
Mailing Address - Country:US
Mailing Address - Phone:336-782-3243
Mailing Address - Fax:
Practice Address - Street 1:3300 REYNOLDA RD
Practice Address - Street 2:INSIDE GOLD'S GYM
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3093
Practice Address - Country:US
Practice Address - Phone:336-782-3243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty